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Obstetric haemorrhage 

Obstetric haemorrhage
Chapter:
Obstetric haemorrhage
Author(s):

Sue Catling

DOI:
10.1093/med/9780199572144.003.0017
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date: 16 October 2017

• Major haemorrhage is defined as a single blood loss of >1500 ml, continuing blood loss of 150 ml/hr or a transfusion requirement of 4 units of red cells • The early team approach to managing major haemorrhage will improve the outcome for the mother • Early resuscitation is essential • Early diagnosis of the cause of major haemorrhage will focus therapy and can be easily remembered by thinking of the 4Ts • Specialist techniques of balloon tamponade or B-Lynch suture are effective in persistent uterine atony • Coagulation failure occurs early in obstetric haemorrhage and should be corrected if possible • Aftercare of the mother with regular monitoring of heart rate, blood pressure, urine output will improve outcome.

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